Correlation and comparative analysis of discriminative validity of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5) and the Early Childhood Oral Health Impact Scale (ECOHIS) for dental caries

Abstract Background: Early childhood caries (ECC) has been prevalent in Thailand. There has never been an appropriate tool to measure its impact on children. Early childhood oral health impact scale (ECOHIS) is a proxy-reported questionnaire developed in the United States for measuring the oral health related quality of life of preschool children and their families and widely adopted into many countries. This study translated it into Thai (Th-ECOHIS) and investigated its psychometric properties in Thai caregivers and their children. Methods: Forward–backward translation by expert was used for the scale development. A face and content validation test were conducted among a group of caregivers to revise and attain the final Th-ECOHIS. Psychometric testing was done on caregivers of 3-year-olds in Bangkok with the interviewer-administered mode. Children’s oral health was indicated by caries experience (decayed, missing and filled primary teeth, dmft). The caregivers answered the Th-ECOHIS and global questions regarding perception of their children’s oral health. Reliability was assessed by measuring internal consistency and reproducibility using Cronbach’s alpha coefficient. Test-retest reliability was managed at 2-week interval in 10% of samples using the intraclass correlation coefficient calculated by two-way analysis of variance. The discriminant validity was tested by the relationship between the severity of dental caries and Th-ECOHIS scores using Kruskal- Wallis test.Results: A total of 214 child-parent pairs participated. Of the 214 children, 22% had ECC (dmft 1-3) and 17.3% had severe ECC (dmft 4 or higher). The mean (SD) dmft score was 1.63 (2.92). All items in the original ECOHIS were retained in the Thai version. The test-retest reliability of Th-ECOHIS was 0.87; internal consistency was 0.85; the total of Th-ECOHIS scores were significantly correlated with the global rating of oral health questions (r = 0.604). The child impact section, family impact section and total Th-ECOHIS scores were significantly associated with the severity of dental caries (p < 0.001).Conclusions: Psychometric evaluation of the Th-ECOHIS demonstrated good reliability and validity and could be used to assess impacts of early childhood caries on quality of life of Thai pre-school children through caregivers and be compared with studies in other languages.

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A Study on Assessing the Chance of Dental Caries Level using Early Childhood Oral Health Impact Scale in 5-yearold Children in Kandy District, Sri Lanka

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1179 ◽

2017 ◽

Vol 7 (1) ◽

pp. 17-21

Author(s):

Tharanga L Nandasena ◽

Chandra K Herath ◽

Madhavi P Paranagama ◽

Kanthi Perera ◽

Sampath C Ratnayake ◽

...

Keyword(s):

Early Childhood ◽

Oral Health ◽

Sri Lanka ◽

Dental Caries ◽

Predictor Variable ◽

Health Impact ◽

P Value ◽

Logistic Regression Models ◽

Impact Scale ◽

The Mean

ABSTRACT Aim The aim of this preliminary study was to assess the chance of dental caries level using early childhood oral health impact scale (ECOHIS) in a group of 5-year-old children in Sri Lanka. Materials and methods A sample of school children aged 5+ years was taken for the study from Denuwara educational zone in Kandy District in Sri Lanka using probability proportional to size sampling method in 2010. Dental caries and oral health impact of the children were recorded. The mean decayed, missing, and filled teeth (DMFT) was 0.01 ± 0.3, while mean dmft was 3.7 ± 0.29. The mean decayed teeth (d) was 3.0 ± 0.23, the mean extracted teeth (m) was 0.46± 0.08, and the mean filled teeth (f) was 0.21 ± 0.05. Twenty four percent of them were caries free (95% confidence interval 0.17, 0.32). Ordinal logistic regression models were fitted by considering dmft levels as the response variables, and oral health impact as the predictor variable. Since Pearson test p-value and deviance test p-value are 0.99 (p > 0.05) and 0.986 (p > 0.05) respectively, the null hypothesis is not rejected as the model fitted the data adequately. Conclusion This model could be used to predict the chance of dental caries level with the score of ECOHIS. Therefore, ECOHIS can be taken as a reliable indicator to assess the level of dental caries. How to cite this article Nandasena TL, Herath CK, Paranagama MP, Perera K, Ratnayake SC, Miyasaki H. A Study on Assessing the Chance of Dental Caries Level using Early Childhood Oral Health Impact Scale in 5-year-old Children in Kandy District, Sri Lanka. J Contemp Dent 2017;7(1):17-21.

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Cross-cultural adaptation and psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (ECOHIS)

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01747-3 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Alba Lilia Brambila Montoya ◽

Jessica Klöckner Knorst ◽

Isaac Murisi Pedroza Uribe ◽

Rubén Alberto Bayardo González ◽

Thiago Machado Ardenghi ◽

...

Keyword(s):

Quality Of Life ◽

Early Childhood ◽

Preschool Children ◽

Oral Health ◽

Dental Caries ◽

Psychometric Properties ◽

Discriminant Validity ◽

Health Impact ◽

Impact Scale

Abstract Background Instruments adapted for the Mexican population to assess oral health-related quality of life (OHRQoL) in preschoolers remain lacking. This study aimed to cross-culturally adapt and evaluate the psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (M-ECOHIS). Methods This cross-sectional study was conducted with preschool children from southern Mexico. The investigation was divided into a transcultural adaptation phase and a validation phase. The M-ECOHIS was completed by the children’s guardians, and clinical data were also evaluated. Reliability was evaluated using tests of internal consistency and test–retest measures, while construct validity was assessed through Spearman’s correlation coefficient between M-ECOHIS scores and self-reported oral health, and through confirmatory factor analysis (CFA). Construct validity was also evaluated through discriminant validity of the M-ECOHIS, which was determined according to questionnaire scores on oral health measures (e.g., dental caries). Results A total of 303 preschool children participated in this study. Regarding internal consistency, Cronbach’s alpha was > 0.78 for the child section, family section, and general M-ECOHIS. The general intraclass correlation coefficient (ICC) for test–retest reliability was 0.95. The correlation between the scores obtained on the child and family impact sections was significant with the self-reported oral health status rating. In relation to CFA, all items of the M-ECOHIS confirmed the latent variables. Further, M-ECOHIS scores were associated with the presence of untreated dental caries, indicating that the questionnaire has good discriminant validity. Conclusion Our findings suggest that the M-ECOHIS is a valid and reliable instrument for assessing the impact of oral health on quality of life in Mexican preschool children.

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Early Childhood Oral Health Impact Scale--Malagasy Version

PsycTESTS Dataset ◽

10.1037/t78287-000 ◽

2020 ◽

Author(s):

Jeannot Randrianarivony ◽

Justin Jacques Ravelomanantsoa ◽

Noeline Razanamihaja

Keyword(s):

Early Childhood ◽

Oral Health ◽

Health Impact ◽

Impact Scale

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Color/race inequalities in oral health among Brazilian adolescents

Revista Brasileira de Epidemiologia ◽

10.1590/s1415-790x2009000300003 ◽

2009 ◽

Vol 12 (3) ◽

pp. 313-324 ◽

Cited By ~ 10

Author(s):

João Luiz Bastos ◽

José Leopoldo Ferreira Antunes ◽

Antonio Carlos Frias ◽

Maria da Luz Rosário de Souza ◽

Karen Glazer Peres ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Health Outcomes ◽

Dental Treatment ◽

Oral Disease ◽

World Health ◽

Treatment Needs ◽

Gingival Bleeding ◽

Untreated Dental Caries ◽

Oral Health Outcomes

This study assessed oral health outcomes (perceived dental treatment need, untreated dental caries, gingival bleeding, periodontal pockets, and pain in teeth and gums), in relation to color/race inequalities among adolescents in each Brazilian region. The database included dental examination and interview of 16,833 15-19-year-old adolescents, surveyed by the Brazilian health authority, from May 2002 to October 2003, in accordance with international diagnostic criteria standardized by the World Health Organization. Prevalence ratios estimated by Poisson regression, and controlled by socioeconomic status and access to fluoridated piped water, assessed oral health differentials among color/race groups and country's regions. Except for periodontal pockets, prevalence figures were higher in the North and Northeast: perceived dental treatment needs, untreated dental caries, gingival bleeding at probing and pain in teeth and gums varied between 80-83%, 75-76%, 38-43%, and 17-18%, respectively, in these regions. Adolescents living in the Southeast - the richest Brazilian region - presented a better general profile of oral health than their counterparts living in the remaining regions; they had a lower prevalence of untreated dental caries (54%) and unfavorable gingival status (29%). However, the Southeast presented color/race inequalities in all oral health outcomes, with a poorer profile systematically affecting browns or blacks, depending on the oral health condition under consideration. These results reinforce the need for expanding the amplitude of health initiatives aimed at adolescent oral health. Socially appropriate health programs should concurrently aim at the reduction of levels of oral disease and its inequalities.

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